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● Treat mild and moderate exacerbations (e.g. pulse <120 bpm, patient talks in sentences) with oxygen (2-4l/min) plus the short-acting B2 agonist salbutamol administered every 20 min via an inhaler. Give p.o. or. i.v. 0.4-0.8 mg/kg of methylprednisolon or another glucocorticosteroid in a dose equivalent to 0.5-1.0 mg/kg prednisolone to patients with no immediate response to salbutamol.
● Treat severe exacerbations (e.g. > pulse 120 bpm, patient talks in words or phrases) as above plus with ipratropium bromide (0.5 mg) via an inhaler.
● In therapy-refractory patients ("status asthmaticus") you may try terbutaline (0.25-0.5 mg s.c.)
● Theophyllin can be used ONLY if no inhaled B2 agonist is available!
● Do not overhydrate! Do not administer sedatives, mucolytics, antibiotics!
≣ Component 4